Jaime Anne Pellegrino-Maurella, PSY.D., LCPC.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008171 Issued in IL

Practice address

27W130 Roosevelt Rd
Winfield, IL 60190-1611

Phone

(630) 588-8490

NPI assigned

Oct 29, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways Psychology Services P.C.

  • Clinical Psychologist
  • Winfield, IL
  • NPI 1942485198
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1184924730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W130 ROOSEVELT RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W130 ROOSEVELT RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901611",
            "telephone_number": "630-588-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO-MAURELLA",
        "first_name": "JAIME",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCPC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Psychology Services P.C.
• Pauline K. Wiener, M.D., S.C.
• Kristine Pearson-Chauhan, DO
• Steven Dale Pearson Jr., M.D.
• Eric Minton Peebles
• Michael Perconti, MD
• Karen Perion, APN
• Richard L Persino, MD
• Jessica Peters
• Angela Obondo Peterson, APRN, CNP

• Clinical Psychologist in Winfield, IL
• Providers in Winfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.